Healthcare Provider Details

I. General information

NPI: 1821926361
Provider Name (Legal Business Name): CYPRESS CREEK TREATMENT CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

470 S ANDREWS AVE STE 206
POMPANO BEACH FL
33069-3537
US

IV. Provider business mailing address

470 SOUTH ANDREWS AVENUE SUITE 206
POMPANO BEACH FL
33069-3537
US

V. Phone/Fax

Practice location:
  • Phone: 305-927-9960
  • Fax: 305-927-9960
Mailing address:
  • Phone: 305-927-9960
  • Fax: 305-927-9960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. RITVIK RATURI
Title or Position: CEO
Credential: ESQ
Phone: 305-927-9960